Get Request By Consumer To Obtain Personal Health Information Under The Act Health Records

Filling out the REQUEST BY CONSUMER TO OBTAIN PERSONAL HEALTH INFORMATION UNDER THE ACT HEALTH RECORDS is an important process for individuals seeking access to their health records. This guide will provide you with clear, step-by-step instructions to help you successfully complete the form online.

Follow the steps to fill out your request form accurately.

1. Press the ‘Get Form’ button to begin the process of obtaining the form and open it in the appropriate editor or interface.
2. Enter your details in the 'Consumer Details' section. This includes your surname, given names, former or maiden name, date of birth, address, postcode, telephone numbers, and pension number, if applicable.
3. Indicate the specific information you require by filling in the 'Information Required' section. Include your access request period and specific details about the information you're requesting.
4. Specify any information that should be excluded by providing details in the 'Information to be excluded' section, such as observation charts or medication charts.
5. Choose the type of access you are requesting by selecting one of the options provided: a copy of the specified admission, a copy of the entire record, access to view the record with an explanation, or access to view the record.
6. If someone is submitting the request on your behalf, fill out the 'Third Party Requestor's Details' section with their surname, given names, and their relationship to you, as well as their contact and address information.
7. Complete the 'Grounds for Authority' section by indicating your relationship to the consumer or providing details about your authority to request the records, including any necessary consents, which may need to be attached.
8. For consumers under 16, ensure that you provide the 'Consumer, Parent or Guardian’s Consent' section by authorizing the release of information. Fill in the name, signature, relationship, and date.
9. If the consumer is under 18, indicate whether there are any Guardianship or Parental Responsibility Orders in place, and provide copies if applicable.
10. After completing the form, you can save changes, download, print, or share the document as needed, ensuring all required sections are filled out accurately.

Start your online request today to ensure you obtain your personal health information promptly.